Abstract

MONTES, G.A.; GARCIA, H.A.  and  PATAQUIVA, M.E.. Urethral prolapse: a differential diagnosis of sexual abuse in children. Cuad. med. forense [online]. 2009, n.58, pp.289-292. ISSN 1988-611X.

Purpose: To describe the case of a patient with urethral prolapse who consulted for suspected non-accidental genital trauma (sexual abuse) and to review the literature. Materials and methods: It was described the case of a patient with urethral prolapse who was taken by the authorities for forensic sexological examination at National Institute of Legal Medicine and Forensic Sciences in Bogota- Colombia on suspicion of sexual abuse. Subsequently conducted a thorough literature search in different databases that support the discussion of the case. Results: It is presented the case of a 23-month-old girl with a history of vaginal bleeding with suspected genital trauma, sexual abuse and child abuse after being thoroughly assessed by experts in the genital area and rigorous examination under sedation was diagnosed urethral prolapse and was treated and managed for that purpose. Conclusions: The concept of a forensic medical specialist is of great importance in the judicial process in a sexual offense, which is why forensic sexological examination requires a high standard that will lead to a correct diagnosis and should not miss the differential diagnosis in these patients to properly manage both medical and legal.

Keywords : urethral prolapse; urethra; prolapse; trauma; sexual abuse.

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